Eur J Plast Surg (2014) 37:695–696 DOI 10.1007/s00238-014-1012-y LETTER TO THE EDITOR Isolated APTT prolongation—not always a bleeding risk in acute paediatric burns surgery M. Nizamoglu & K. S. Alexander & U. Anwar & S. Bhandari Received: 25 July 2014 /Accepted: 16 August 2014 /Published online: 5 September 2014 The Author(s) 2014. This article is published with open access at Springerlink.com Sir, anticardiolipin, was normal. Despite no clinical wound infec- There are several causes of isolated elevated activated partial tion, wound swabs grew MRSA, which was treated with thromboplastin time (APTT), some of which are known to mupirocin 2 % ointment. The consultant paediatric cause increased bleeding. This case report demonstrates not all haematologist advised her results suggested a contact factor causes of elevated APTT cause increased bleeding during deficiency, which would not impair haemostasis as there was acute burns surgery. no coagulopathy clinically. The burn was debrided under A 2-year-old Indian girl was admitted to the burns unit the general anaesthetic using Versajet hydrosurgery. Haemostasis same day following a slip into freshly boiled water from was aided using topical adrenaline swabs. The donor site was which she sustained 6 % TBSA mixed partial/full-thickness infiltrated using 1:500,000 adrenaline/saline solution.
European Journal of Plastic Surgery – Springer Journals
Published: Dec 1, 2014
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